THE EAST ALABAMA HEALTHCARE AUTHORITY (NPI# 1376615773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376615773 |
| Entity Type | Organization |
| Organization Name | THE EAST ALABAMA HEALTHCARE AUTHORITY |
| Other Organization Name | OAK PARK |
| Practice Address |
1365 Gatewood Dr Auburn AL 36830-2834 |
| Practice Telephone | 3348267200 |
| Mailing Telephone | 3348267200 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2008-11-25 |
| Authorized Official Name | MR. TERRELL T JACKSON (SENIOR SERVICES DIRECTOR) |
| Authorized Official Telephone | 3345285829 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE EAST ALABAMA HEALTHCARE AUTHORITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS & BLUE SHIELD | 010543 | 01 |
| AL | 4758150S | 05 |
| Other Name | Type Code |
|---|---|
| Oak Park | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467462283 | The East Alabama Healthcare Authority | Durable Medical Equipment & Medical Supplies | 17 Medical Park, Valley, AL 36854-3665 | 2006-08-08 |
| 1821448580 | The East Alabama Healthcare Authority | Rehabilitation Unit | 4800 48th St, 2nd Floor, Valley, AL 36854-3666 | 2016-06-14 |
| 1699914978 | The East Alabama Healthcare Authority | General Acute Care Hospital | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2009-02-11 |
| 1871661298 | The East Alabama Healthcare Authority | Skilled Nursing Facility | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2006-12-01 |
| 1073685483 | The East Alabama Healthcare Authority | General Acute Care Hospital | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2006-11-14 |
| 1154386431 | The East Alabama Healthcare Authority | General Acute Care Hospital | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2006-04-19 |
| Street Address |
1365 GATEWOOD DR |
| City | AUBURN |
| State | AL |
| Zip Code | 36830-2834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861579336 | Maternity Services of District 11, LLC | Exclusive Provider Organization | 1365 Gatewood Dr, Suite 525, Auburn, AL 36830-2834 | 2006-11-01 |
| 1790177418 | Care Network of Alabama, Inc. | Exclusive Provider Organization | 1365 Gatewood Dr, Suite 521, Auburn, AL 36830-2834 | 2015-03-04 |
| 1568754737 | Care Network of East Alabama, Inc. | Case Management | 1365 Gatewood Dr, Suite 521, Auburn, AL 36830-2834 | 2011-05-06 |
| 1053564153 | Leslie Davis Wisner | Pharmacist | 1365 Gatewood Dr, Auburn, AL 36830-2834 | 2008-11-03 |
| 1982854667 | Oak Park Pharmacy | Pharmacy | 1365 Gatewood Dr, Auburn, AL 36830-2834 | 2008-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366072878 | Jayson Patrick Hairston | Student in an Organized Health Care Education/Training Program | 1188 Opelika Rd Building 700 Unit 1, Auburn, AL 36830 | 2020-01-23 |
| 1477106417 | Dunn Psychological Services, LLC | Clinic/Center | 2204 Ogletree Village Lane, Suite B, Auburn, AL 36830 | 2019-07-18 |
| 1487117982 | East Alabama Apothecary LLC | Pharmacy | 665 Opelika Roade, Suite 400, Auburn, AL 36830 | 2019-04-11 |
| 1558822759 | Shelley Orthodontics LLC | Dentist | 1957 E. Samford Ave., Ste A, Auburn, AL 36830 | 2019-03-29 |
| 1811454903 | Auburn Pharmacy | Pharmacy | 643 North Dean Road, Auburn, AL 36830 | 2019-02-25 |
| 1386121473 | Joshua D Mathis Dds LLC | Clinic/Center | 2311 Bent Creek Rd., Ste 500, Auburn, AL 36830 | 2018-07-23 |
| 1790213866 | Amy Morton Dean | Pharmacist | 717 Queens, Auburn, AL 36830 | 2017-06-01 |
| 1629519558 | Laura Walton Bell | Nurse Practitioner | 1702 Catherine Ct, Auburn, AL 36830 | 2017-03-11 |
| 1952857229 | North Dean Dental, P.C. | Clinic/Center | 867 North Dean Road, Auburn, AL 36830 | 2016-08-28 |
| 1871960302 | Beverly Harrison Doyle | Physical Therapist | 2515 E. Glenn Ave., Ste 104, Auburn, AL 36830 | 2015-09-01 |
| Find all providers in zip 36830 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548404148 | John F Murphy Homes, Inc. | Nursing Facility/Intermediate Care Facility | 800 Center St, Auburn, ME 04210-6404 | 2009-04-27 |
| 1881796258 | Regency Auburn, LLC | Nursing Facility/Intermediate Care Facility | 414 17th St Se, Auburn, WA 98002-6822 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467998864 | Advance Med | Nursing Facility/Intermediate Care Facility | 117 Rocky Ridge St, Carrollton, AL 35447-2139 | 2017-01-10 |
| 1568863785 | Mobile Picc Specialists | Nursing Facility/Intermediate Care Facility | 39 Ashwood Rd, Butler, AL 36904-2860 | 2014-09-07 |
| 1740552306 | Oakwoods Dream Care Assisted Living Facility LLC. | Nursing Facility/Intermediate Care Facility | 1008 Oakwood Ave Nw, Huntsville, AL 35811-1661 | 2012-01-29 |
| 1609077577 | Rtg Medical | Nursing Facility/Intermediate Care Facility | 400 N Ash Ave, Demopolis, AL 36732-2444 | 2007-05-30 |
| 1861597114 | Jackson County Healthcare Authority | Nursing Facility/Intermediate Care Facility | 47065 Alabama Hwy 277, Bridgeport, AL 35740 | 2006-09-13 |
| 1154380632 | Crowne Health Care of Mobile, LLC | Nursing Facility/Intermediate Care Facility | 954 Navco Rd, Mobile, AL 36605-2413 | 2006-03-22 |
| 1285693762 | Evergreen Nursing Home, LLC | Nursing Facility/Intermediate Care Facility | 100 Sanders Dr, Evergreen, AL 36401-3306 | 2006-03-22 |
| 1508825076 | Crowne Health Care of Fort Payne, LLC | Nursing Facility/Intermediate Care Facility | 403 13th St Nw, Fort Payne, AL 35967-3145 | 2006-03-22 |
| 1043279532 | Crowne Health Care of Eufaula, LLC | Nursing Facility/Intermediate Care Facility | 430 Rivers Ave, Eufaula, AL 36027-1820 | 2006-03-22 |
| 1659330132 | Parkwood Health Care Facility, LLC | Nursing Facility/Intermediate Care Facility | 3301 Stadium Dr, Phenix City, AL 36867-3115 | 2006-03-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.